Revision and Psychometric Testing of the Delirium Care Self-Efficacy Scale for ICU Nurses
Jing Nie, Zheng-Ying Jiang Intensive Care Unit, Chongqing University Cancer Hospital, Chongqing, 400030, People’s Republic of ChinaCorrespondence: Zheng-Ying Jiang, Intensive Care Unit, Chongqing University Cancer Hospital, No. 181 of Hanyu Road, Shapingba District, Chongqing, 400030, People’s Repub...
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Dove Medical Press
2025-08-01
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| author | Nie J Jiang ZY |
| author_facet | Nie J Jiang ZY |
| author_sort | Nie J |
| collection | DOAJ |
| description | Jing Nie, Zheng-Ying Jiang Intensive Care Unit, Chongqing University Cancer Hospital, Chongqing, 400030, People’s Republic of ChinaCorrespondence: Zheng-Ying Jiang, Intensive Care Unit, Chongqing University Cancer Hospital, No. 181 of Hanyu Road, Shapingba District, Chongqing, 400030, People’s Republic of China, Tel +86 13996489813, Email jiangzhengyingggg@126.comObjective: The aim of this study is to culturally adapt the Traditional Chinese version of the Delirium Care Self-Efficacy Scale for ICU Nurses (DCSE-I), originally developed in Taiwan, for use in mainland China and to assess its reliability and validity.Methods: The revised scale underwent cross-cultural adaptation following expert consultations and a pilot survey. To evaluate its reliability and validity, a survey was conducted among 284 ICU nurses from eight tertiary hospitals in Chongqing.Results: The Chinese version of the DCSE-I demonstrated strong internal consistency, with an overall Cronbach’s α coefficient of 0.934. The item-level content validity index (I-CVI) values ranged from 0.800 to 1.000, and the scale-level content validity index/average (S-CVI/Ave) was 0.923. The split-half reliability was 0.861, while the test-retest reliability reached 0.954. Exploratory factor analysis identified two factors with a cumulative variance contribution rate of 65.522%. These two dimensions were labeled “Confidence in Delirium Assessment” and “Confidence in Delirium Management”.Conclusion: The Chinese version of the DCSE-I is appropriate for the cultural context of mainland China and exhibits strong reliability and validity.Keywords: cultural adaptation, delirium care self-efficacy, ICU nurses, reliability, validity |
| format | Article |
| id | doaj-art-e044778f417c4f3eacc4356aa06f6c86 |
| institution | DOAJ |
| issn | 1178-2390 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Multidisciplinary Healthcare |
| spelling | doaj-art-e044778f417c4f3eacc4356aa06f6c862025-08-20T02:56:31ZengDove Medical PressJournal of Multidisciplinary Healthcare1178-23902025-08-01Volume 18Issue 146654673105466Revision and Psychometric Testing of the Delirium Care Self-Efficacy Scale for ICU NursesNie J0Jiang ZY1Intensive Critical UnitIntensive Critical UnitJing Nie, Zheng-Ying Jiang Intensive Care Unit, Chongqing University Cancer Hospital, Chongqing, 400030, People’s Republic of ChinaCorrespondence: Zheng-Ying Jiang, Intensive Care Unit, Chongqing University Cancer Hospital, No. 181 of Hanyu Road, Shapingba District, Chongqing, 400030, People’s Republic of China, Tel +86 13996489813, Email jiangzhengyingggg@126.comObjective: The aim of this study is to culturally adapt the Traditional Chinese version of the Delirium Care Self-Efficacy Scale for ICU Nurses (DCSE-I), originally developed in Taiwan, for use in mainland China and to assess its reliability and validity.Methods: The revised scale underwent cross-cultural adaptation following expert consultations and a pilot survey. To evaluate its reliability and validity, a survey was conducted among 284 ICU nurses from eight tertiary hospitals in Chongqing.Results: The Chinese version of the DCSE-I demonstrated strong internal consistency, with an overall Cronbach’s α coefficient of 0.934. The item-level content validity index (I-CVI) values ranged from 0.800 to 1.000, and the scale-level content validity index/average (S-CVI/Ave) was 0.923. The split-half reliability was 0.861, while the test-retest reliability reached 0.954. Exploratory factor analysis identified two factors with a cumulative variance contribution rate of 65.522%. These two dimensions were labeled “Confidence in Delirium Assessment” and “Confidence in Delirium Management”.Conclusion: The Chinese version of the DCSE-I is appropriate for the cultural context of mainland China and exhibits strong reliability and validity.Keywords: cultural adaptation, delirium care self-efficacy, ICU nurses, reliability, validityhttps://www.dovepress.com/revision-and-psychometric-testing-of-the-delirium-care-self-efficacy-s-peer-reviewed-fulltext-article-JMDHcultural adaptationdelirium care self-efficacyICU nursesreliabilityvalidity |
| spellingShingle | Nie J Jiang ZY Revision and Psychometric Testing of the Delirium Care Self-Efficacy Scale for ICU Nurses Journal of Multidisciplinary Healthcare cultural adaptation delirium care self-efficacy ICU nurses reliability validity |
| title | Revision and Psychometric Testing of the Delirium Care Self-Efficacy Scale for ICU Nurses |
| title_full | Revision and Psychometric Testing of the Delirium Care Self-Efficacy Scale for ICU Nurses |
| title_fullStr | Revision and Psychometric Testing of the Delirium Care Self-Efficacy Scale for ICU Nurses |
| title_full_unstemmed | Revision and Psychometric Testing of the Delirium Care Self-Efficacy Scale for ICU Nurses |
| title_short | Revision and Psychometric Testing of the Delirium Care Self-Efficacy Scale for ICU Nurses |
| title_sort | revision and psychometric testing of the delirium care self efficacy scale for icu nurses |
| topic | cultural adaptation delirium care self-efficacy ICU nurses reliability validity |
| url | https://www.dovepress.com/revision-and-psychometric-testing-of-the-delirium-care-self-efficacy-s-peer-reviewed-fulltext-article-JMDH |
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